A postpartum client reports blurred vision. Which action should the nurse take?

• A. Report to the provider
• B. Reassure the client and continue monitoring
• C. Encourage fluids and rest
• D. Suggest a mild analgesic and recheck later

Answer: (A)

Blurred vision after delivery can signal a hypertensive crisis such as preeclampsia, which requires prompt medical evaluation. Vision changes occur from retinal arteriolar vasospasm caused by high blood pressure and endothelial dysfunction; in the postpartum period this can rapidly progress to more serious events like seizures. Because of the potential for significant maternal complications, the nurse should immediately report this symptom to the provider so blood pressure, labs, and other assessments can be performed and appropriate treatment begun per protocol. Providing reassurance, waiting, or offering simple remedies would not address the underlying risk and could delay necessary care.